Incontinence in children, especially toddlers, is common as they cannot completely control their bladder and often empty it during the day or night. Loss of bladder control is called incontinence or enuresis. It is commonly seen in kids below three of age and may even extend until they are five.
Girls are mostly seen to control incontinence before boys. The timings of enuresis vary from child to child and some may even continue for more than five years. It can be a frustrating experience for the child and parents. Visit our Childhood Incontinence Clinic in Yeshawanthpur.
There are different types of enuresis seen in children, as listed below,
Nocturnal enuresis is night-time enuresis, as it happens during the child's sleeping hours. It is also known as bedwetting and is the most prominent type of enuresis.
Diurnal enuresis is daytime enuresis, as it happens during the day.
Primary enuresis is seen when the child cannot express their need to use the toilet.
Secondary enuresis is seen as periods of dryness followed by enuresis again. Some kids may not wet their beds at night but cannot control their bladder during the day.
There are many causes due to which a child may face enuresis, although the exact cause varies from child to child. Some night-time causes include the following,
Attention Deficit/Hyperactivity Disorder or ADHD
Obstructive Sleep Apnea
Lack of Antidiuretic Hormone (ADH) when asleep
Urinary Tract Infection (UTI)
Tiny bladder size
Decreased physical development
The urinary tract has structural deficits
No feeling of a full bladder
Some probable causes for daytime enuresis include the following,
Caffeine in the diet
Constipation or hard stools that affect the bladder
Urinary tract infection
Decreased voiding of the bladder when using the toilet
Not using the toilet
Obstacles within the urinary tract
Diagnosis of enuresis is made when the child is taken to the clinic. Some procedures involved in the diagnosis are as follows,
Medical history of the child
Liquid intake quantity and types
The doctor may enquire about,
The child’s eating habits
Colour of the urine
If the child faces any obstruction or pain during urinating
If the child suffers from periodic constipation
Blood in the urine
There are many different ways to tackle enuresis in children. They are listed below,
Remove caffeine from the child’s diet as it interferes with the urinating pattern.
Drinking fewer fluids before bedtime
Waking up the child in the night to void the bladder
Training to urinate; maintaining a specific schedule for urinating
Medicines that will help increase the ADH levels or soothe the muscles of the bladder
Talking to the child or a counselling session with the child
Some complications that arise from enuresis are emotional stress, uncomfortable feeling leaving the house, an embarrassment in front of friends, etc. Book an appointment at our multi-specialty hospital today. Some practical tips to handle enuresis are listed below,
Using a plastic sheet on the bed
Not reprimanding the child loudly as it may demotivate them
Keeping a change of clothes handy every time you leave the house